Treatment of Scaphoid Fractures: European Approaches.

Scaphoid fractures account for 2% of all fractures. In Europe, the incidence is 12.4/100,000/y. This article focuses on the European perspective on understanding and management of these injuries. These fractures occur in young, active patients. The aim of treatment is union. Osteoarthritis is almost inevitable if the fracture does not unite. Cast immobilization is the treatment of choice in occult or stable fractures with 90% to 95% healing. Acute/primary surgery may be considered in some patients. The European literature stresses the importance of taking the patient's wishes into consideration after careful counseling about alternative treatment methods.